Marsha Wilson at Home Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MARSHA WILSON AT HOME RESIDENTIAL CARE

Practice address

1890 Lemon Ave
Kissimmee, FL 34746-3710

Phone

(407) 970-3909

Fax

(407) 201-5987

NPI assigned

May 7, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marsha Anthia Wilson, MSW, CDP, MS-ED

Title

Owner

Phone

(407) 970-3909

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1386228187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 LEMON AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463710",
            "telephone_number": "407-970-3909",
            "fax_number": "407-201-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LEMON AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463710",
            "telephone_number": "407-970-3909",
            "fax_number": "407-201-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHA WILSON AT HOME RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "ANTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-970-3909",
        "authorized_official_credential": "MSW, CDP, MS-ED"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Marrero
• Yanelis Marrero
• Zayra Yaenis Marrero I, SLP
• Annette Marrerro
• Marsan Clinic LLC
• Yasheema Marshall, B.A., C.P.S.P.
• Gennesi Maria Marte
• Renaliz Carmen Marte I
• Miriam Martes
• Anthony N Martin Espinoza

• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.